BILLING OFFICER (HOSPITAL)

DUTIES AND RESPONSIBILITIES

Patient Billing & Invoicing

• Accurately generate and issue itemized bills for patients based on medical services rendered, consultations, laboratory tests, medications, procedures, and hospital stays.
• Ensure all services are properly captured and coded in the billing system before discharge.
• Review patients’ charts and treatment records to validate charges.

Payment Processing

• Receive and record all forms of payments including cash, mobile money (e.g. M-Pesa), credit/debit card transactions, Self-Help Accounts (SHA), and insurance payments.
• Issue official receipts for payments and ensure daily reconciliation of collections.
• Track deposits or prepayments and adjust final bills accordingly.

Insurance Claims Management

• Confirm insurance eligibility and pre-authorizations for patients before or during admission.
• Prepare, submit, and track insurance claims accurately and on time, ensuring compliance with insurance provider requirements.
• Follow up on delayed payments, rejections, or underpayments from insurance companies, and resubmit claims with necessary clarifications or documentation.
• Maintain accurate records of all insurance correspondences and approvals.

Billing Data Accuracy & Reconciliation

• Ensure accuracy in the entry of billing data into the hospital system and validate that all services rendered are billed.
• Work closely with clinical departments to reconcile patient accounts and address discrepancies.
• Perform end-of-day reconciliation and reporting on all billing transactions and outstanding balances.

Patient Communication & Support

• Clearly explain billing procedures, invoices, and payment requirements to patients and/or their relatives.
• Address and resolve any billing queries, complaints, or disputes promptly and professionally.
• Provide cost estimates to patients for planned procedures or treatments, especially those paying out-of-pocket or partially insured.

Collaboration with Internal Departments

• Coordinate with the front desk, pharmacy, nursing, lab, radiology, and doctors to ensure timely updates on patient treatment status and service delivery.
• Work with the finance department during audits, reconciliations, and reporting.

Reporting & Documentation

• Prepare daily, weekly, and monthly billing summaries, insurance claims reports, and accounts receivable statements.
• Maintain organized and up-to-date documentation of all transactions for auditing and reference purposes.

Compliance & Policy Adherence

• Ensure that all billing activities comply with hospital policies, regulatory requirements, and ethical standards.
• Keep abreast of changes in medical billing codes, SHIF regulations, and insurance procedures.
• Participate in internal audits and assist in implementing recommendations.

KEY REQUIREMENT SKILLS AND QUALIFICATION

• Diploma or Degree in Finance, Accounting, Business Administration, or a related field
• Minimum 1–2 years working experience as a Billing Officer in a hospital or medical facility
• Strong knowledge of hospital billing systems, insurance procedures, and medical codes
• Proficiency in MS Office and hospital billing software
• Excellent attention to detail and numerical accuracy
• Strong interpersonal and communication skills

HOW TO APPLY

• If you meet the above qualifications, skills and experience share CV on This email address is being protected from spambots. You need JavaScript enabled to view it.
• Interviews will be carried out on a rolling basis until the position is filled.

Only the shortlisted candidates will be contacted.